What effect does electronic ordering have on the organisational dynamics of a hospital pathology service?

Andrew Georgiou*, Johanna I. Westbrook, Jeffrey Braithwaite

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

5 Citations (Scopus)

Abstract

The aim of this triangulated (multi-method, multi-setting, multi-staged) study was to identify the consequences of an electronic ordering system on the functioning and organisational dynamics of a hospital pathology service. The study was carried out in five pathology departments during the period August 2005 to April 2006. It included five focus groups involving 21 participants and 67 interviews with 38 participants, along with a total of 21 hours of observation. The findings revealed three key themes with implications for the functioning and organisational dynamics of the pathology service. These included: a) work process changes that affect the output of the pathology laboratories; b) temporal considerations, particularly as they related to efficiency of laboratory processes; and c) communication channels and the resulting changes in the mode of information exchange and communication. These themes emerged from a close analysis of the contextual setting of each department. Successful CPOE implementation should be premised on a solid understanding of the organisational, communication, information and temporal circumstances in which the system will operate.

Original languageEnglish
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
EditorsC. Safran, S. Reti, H.F. Marin
Place of PublicationAmsterdam
PublisherIOS Press
Pages223-227
Number of pages5
Volume160
EditionPART 1
ISBN (Print)9781607505877
DOIs
Publication statusPublished - 2010
Externally publishedYes
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: 12 Sep 201015 Sep 2010

Other

Other13th World Congress on Medical and Health Informatics, Medinfo 2010
CountrySouth Africa
CityCape Town
Period12/09/1015/09/10

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  • Cite this

    Georgiou, A., Westbrook, J. I., & Braithwaite, J. (2010). What effect does electronic ordering have on the organisational dynamics of a hospital pathology service? In C. Safran, S. Reti, & H. F. Marin (Eds.), Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics (PART 1 ed., Vol. 160, pp. 223-227). Amsterdam: IOS Press. https://doi.org/10.3233/978-1-60750-588-4-223